Dermatology quiz

Abstract

A 36 year old male presented with a history of nodules on the face for 3 months. He is HIV positive with a CD4 count of 92 cells/mm3. The patient has not yet been receiving anti-retroviral therapy. On clinical examination he was emaciated, had generalised lymphadenopathy and oral thrush. He had several nodular lesions on the face. These lesions bled easily on contact (Figure 1). Biopsy from one of the nodules showed an atrophic epidermis, proliferation of capillaries in the dermis and an inflammatory infiltrate of lymphocytes, histiocytes and neutrophils (Figure 2).